Revenue Cycle AR Manager FPO/Clinical Revenue Office

Columbia University
New York
Oct 11, 2016
Nov 08, 2016
Employer Type
Direct Employer
Employment Type
Full Time
Job Board
Job Summary ColumbiaDoctors is one of the largest multispecialty practices in the Northeast and is affiliated with world-renowned Columbia University Medical Center and NewYork-Presbyterian Hospital. ColumbiaDoctors is currently looking for a Revenue Cycle AR Manager to work in its central business office located in Fort Lee, New Jersey. Reporting to the Director, Clinical Revenue Office, the Revenue Cycle AR Manager is responsible for overseeing and managing revenue cycle units within the Clinical Revenue Office (CRO). Responsibilities include management of unit supervisors and staff, training on tactics and system tools, maintaining office policies and procedures, and compliance with billing rules and guidelines. The manager will work to ensure that productivity and collection performance meets daily and monthly expectations. JOB Functions: Directly manage revenue cycle units to ensure maximum efficiencies and productivity as well as managing accounts receivable (AR) inventory.Develop guidelines for prioritizing work activities, evaluating effectiveness and modification.Assist in developing, maintaining, and implementing standard operating procedures (SOP) associated with AR follow-up, collection efforts, and operations.Generate and manage initiatives for cash acceleration through targeted projects.Perform all HR functions with regard to management of units including, but not limited to, quality assurance review of work performed, monitoring time and attendance, ensuring staff adheres to office and institutional policy and procedures, and following through with disciplinary actions as appropriate.Initiate and participate in scheduled payer meetings to escalate resolution of denial appeals.Provide valuable feedback and corrective measures to prevent claim denials.Ensure that proper system tools and tactics are utilized to maximize revenue collections, while in compliance of regulations.Monitor established key operating indicators (KOI) and ensure that benchmarks are met. Deploy resources as required to address priorities and receivables inventory.Prepare appropriate reports for Department leadership.Provide analysis for modeling revenue projections and staffing needs.Provide analysis on key items as related to discussion points on month-end summaries for meetings with clinical departments.Advise senior management on matters pertinent to the successful operation of CRO operations, and participate in periodic program evaluation. Recommend and implement enhancements to improve current process and overall performance.Act as a backup to the CRO Revenue Cycle Director in his or her absence and for other CRO Revenue Cycle managers on an as-needed basis.Perform other duties and responsibilities as assigned by the Director of the CRO.Conform to all applicable HIPPA, Billing Compliance, and safety policies and guidelines.Represent the CRO on committees, task forces, and work groups. Negotiate workable compromise solutions to complex problems between the CRO and other departments, payers, etc.Keep apprised of industry rules and regulations affecting reimbursement. Stay current, through appropriate journals and personal contacts, of such developments in the industry as may increase the effectiveness of operations. Qualifications: Required: BA/BS in Business Administration or Health Services Administration (or in a related field) or equivalent work experience in healthcare management required.Minimum of 5 years' supervisory/management experience in a physician billing or third-party payer environment emphasizing reporting systems.Demonstrated skills in AR management, problem assessment and resolution, and collaborative problem solving in complex, interdisciplinary settings.Ability to work collaboratively with a culturally diverse staff and patient/family population; strong customer service skills, demonstrating tact and sensitivity in stressful situations.Practice Management systems; knowledge of electronic billing systems; knowledge of office machines, including personal computers; and an ability and willingness to learn new systems and programs.Proficiency in healthcare insurance billing, reimbursement, coding, and eligibility as it pertains to commercial and managed care, self-pay reimbursement concepts, and overall operational impact.Ability to work independently, follow through, and handle multiple tasks simultaneously.Ability to communicate effectively in both oral and written form. This position requires the ability to interact positively, constructively, and effectively with employees, professional staff, community representatives, and carriers.Must be a motivated individual with a positive and exceptional work ethic.Ability to educate and train all levels of professional staff. Preferred: Knowledge of the GE/IDX system and its multiple modules.Knowledge of trending and reporting analysis.CPC Certified/Medical Compliance Certification. All applicants must apply online at: We are an affirmative action/equal opportunity employer. Category: Finance , Keywords: Accounts Receivable Manager